Active NPI
Laura Janeth Limon Tavarez, COTA
- Occupational Therapy Assistant
- Alhambra, CA
National Provider Identifier
1417675307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 5971
- Practice address
- 1000 S Fremont Ave Unit 27
Alhambra, CA 91803-8849 - Phone
- (626) 289-7472
- NPI assigned
- Aug 17, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 5971 | CA | Primary |
Addresses
Primary practice location
1000 S Fremont Ave Unit 27
Alhambra, CA 91803-8849
Mailing address
1000 S Fremont Ave Unit 27
Alhambra, CA 91803-8849
Phone (626) 289-7472
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660694400000",
"number": "1417675307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 S FREMONT AVE UNIT 27",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918038849",
"telephone_number": "626-289-7472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 S FREMONT AVE UNIT 27",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918038849",
"telephone_number": "626-289-7472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIMON TAVAREZ",
"first_name": "LAURA",
"middle_name": "JANETH",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-17",
"last_updated": "2022-08-17",
"certification_date": "2022-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CA",
"license": "5971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alhambra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.